Cargando…
Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia
Interventions targeting portion size and energy density of food and beverage products have been identified as a promising approach for obesity prevention. This study modelled the potential cost-effectiveness of: a package size cap on single-serve sugar sweetened beverages (SSBs) >375 mL (package...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622743/ https://www.ncbi.nlm.nih.gov/pubmed/28878175 http://dx.doi.org/10.3390/nu9090983 |
_version_ | 1783267976652259328 |
---|---|
author | Crino, Michelle Mantilla Herrera, Ana Maria Ananthapavan, Jaithri Wu, Jason H. Y. Neal, Bruce Lee, Yong Yi Zheng, Miaobing Lal, Anita Sacks, Gary |
author_facet | Crino, Michelle Mantilla Herrera, Ana Maria Ananthapavan, Jaithri Wu, Jason H. Y. Neal, Bruce Lee, Yong Yi Zheng, Miaobing Lal, Anita Sacks, Gary |
author_sort | Crino, Michelle |
collection | PubMed |
description | Interventions targeting portion size and energy density of food and beverage products have been identified as a promising approach for obesity prevention. This study modelled the potential cost-effectiveness of: a package size cap on single-serve sugar sweetened beverages (SSBs) >375 mL (package size cap), and product reformulation to reduce energy content of packaged SSBs (energy reduction). The cost-effectiveness of each intervention was modelled for the 2010 Australia population using a multi-state life table Markov model with a lifetime time horizon. Long-term health outcomes were modelled from calculated changes in body mass index to their impact on Health-Adjusted Life Years (HALYs). Intervention costs were estimated from a limited societal perspective. Cost and health outcomes were discounted at 3%. Total intervention costs estimated in AUD 2010 were AUD 210 million. Both interventions resulted in reduced mean body weight (package size cap: 0.12 kg; energy reduction: 0.23 kg); and HALYs gained (package size cap: 73,883; energy reduction: 144,621). Cost offsets were estimated at AUD 750.8 million (package size cap) and AUD 1.4 billion (energy reduction). Cost-effectiveness analyses showed that both interventions were “dominant”, and likely to result in long term cost savings and health benefits. A package size cap and kJ reduction of SSBs are likely to offer excellent “value for money” as obesity prevention measures in Australia. |
format | Online Article Text |
id | pubmed-5622743 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-56227432017-10-05 Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia Crino, Michelle Mantilla Herrera, Ana Maria Ananthapavan, Jaithri Wu, Jason H. Y. Neal, Bruce Lee, Yong Yi Zheng, Miaobing Lal, Anita Sacks, Gary Nutrients Article Interventions targeting portion size and energy density of food and beverage products have been identified as a promising approach for obesity prevention. This study modelled the potential cost-effectiveness of: a package size cap on single-serve sugar sweetened beverages (SSBs) >375 mL (package size cap), and product reformulation to reduce energy content of packaged SSBs (energy reduction). The cost-effectiveness of each intervention was modelled for the 2010 Australia population using a multi-state life table Markov model with a lifetime time horizon. Long-term health outcomes were modelled from calculated changes in body mass index to their impact on Health-Adjusted Life Years (HALYs). Intervention costs were estimated from a limited societal perspective. Cost and health outcomes were discounted at 3%. Total intervention costs estimated in AUD 2010 were AUD 210 million. Both interventions resulted in reduced mean body weight (package size cap: 0.12 kg; energy reduction: 0.23 kg); and HALYs gained (package size cap: 73,883; energy reduction: 144,621). Cost offsets were estimated at AUD 750.8 million (package size cap) and AUD 1.4 billion (energy reduction). Cost-effectiveness analyses showed that both interventions were “dominant”, and likely to result in long term cost savings and health benefits. A package size cap and kJ reduction of SSBs are likely to offer excellent “value for money” as obesity prevention measures in Australia. MDPI 2017-09-06 /pmc/articles/PMC5622743/ /pubmed/28878175 http://dx.doi.org/10.3390/nu9090983 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Crino, Michelle Mantilla Herrera, Ana Maria Ananthapavan, Jaithri Wu, Jason H. Y. Neal, Bruce Lee, Yong Yi Zheng, Miaobing Lal, Anita Sacks, Gary Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia |
title | Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia |
title_full | Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia |
title_fullStr | Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia |
title_full_unstemmed | Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia |
title_short | Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia |
title_sort | modelled cost-effectiveness of a package size cap and a kilojoule reduction intervention to reduce energy intake from sugar-sweetened beverages in australia |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622743/ https://www.ncbi.nlm.nih.gov/pubmed/28878175 http://dx.doi.org/10.3390/nu9090983 |
work_keys_str_mv | AT crinomichelle modelledcosteffectivenessofapackagesizecapandakilojoulereductioninterventiontoreduceenergyintakefromsugarsweetenedbeveragesinaustralia AT mantillaherreraanamaria modelledcosteffectivenessofapackagesizecapandakilojoulereductioninterventiontoreduceenergyintakefromsugarsweetenedbeveragesinaustralia AT ananthapavanjaithri modelledcosteffectivenessofapackagesizecapandakilojoulereductioninterventiontoreduceenergyintakefromsugarsweetenedbeveragesinaustralia AT wujasonhy modelledcosteffectivenessofapackagesizecapandakilojoulereductioninterventiontoreduceenergyintakefromsugarsweetenedbeveragesinaustralia AT nealbruce modelledcosteffectivenessofapackagesizecapandakilojoulereductioninterventiontoreduceenergyintakefromsugarsweetenedbeveragesinaustralia AT leeyongyi modelledcosteffectivenessofapackagesizecapandakilojoulereductioninterventiontoreduceenergyintakefromsugarsweetenedbeveragesinaustralia AT zhengmiaobing modelledcosteffectivenessofapackagesizecapandakilojoulereductioninterventiontoreduceenergyintakefromsugarsweetenedbeveragesinaustralia AT lalanita modelledcosteffectivenessofapackagesizecapandakilojoulereductioninterventiontoreduceenergyintakefromsugarsweetenedbeveragesinaustralia AT sacksgary modelledcosteffectivenessofapackagesizecapandakilojoulereductioninterventiontoreduceenergyintakefromsugarsweetenedbeveragesinaustralia |